Bulge after tummy tuck. Would could this be? (Photo)

In patient like you we perform very agressive liposuction of upper and lower abdomen and lateral portion of flanks as a part of abdominoplasty. Based on thse photos, liposuction of lower and upper abdomen seem to be an option to improve your current result? You should discuss this option with your surgeon or seek in person second opinion consultation. Hope this helps.

Your swelling may be internal and not related to your surgery. an examination can tell if it is internal or outside of your muscles. Internal swelling is usually related to food allergies and your diet must be changed to eliminate that swelling.

From your photos there can be a few reasons behind the contour of your abdomen. It could be visceral/internal fat which is the fat behind the muscle wall. This is addressed with weight loss and cannot be corrected with liposuction or a tummy tuck. Next, it could be subcutaneous fat. This is fat that is under the skin, but above the muscle wall. This fat is corrected through liposuction. Yet another potential cause is that the abdominal wall is lax and further tightening of the muscle is needed. This would require a revision to correct.